Surviving breast cancer

Jacqueline H Chirgwin
Med J Aust 2018; 208 (1): . || doi: 10.5694/mja17.00938
Published online: 15 January 2018

Women diagnosed with breast cancer also have a greater burden of other illness

Although breast cancer is worldwide the most common cancer in women, many, perhaps most patients die from other causes. In Australia, it is estimated that 17 730 people will have been diagnosed with breast cancer in 2017, and that there will have been 3114 breast cancer-related deaths: this represents 13% of all new cancer diagnoses, but only 6.5% of cancer deaths.1 The difference between incidence and mortality has been widening for several decades, with a continual increase in incidence but a substantial fall in mortality. Five-year survival has increased from 70% in the 1980s to 90%,1 primarily because of earlier diagnosis and improved treatment.

  • Box Hill Hospital, Melbourne, VIC


Competing interests:

No relevant disclosures.

  • 1. Cancer Australia, Australian Government. Breast cancer statistics. Updated June 2017. (viewed Sept 2017).
  • 2. American Cancer Society. Cancer treatment & survivorship: facts & figures. 2014–2015. Atlanta (GA): ACS, 2014. (viewed Sept 2017).
  • 3. National Coalition for Cancer Survivorship. Defining cancer survivorship. July 2014. (viewed Sept 2017).
  • 4. Kinnane NA, Piper A, Wiley G, et al. Transforming cancer survivorship care: an Australian experience. Asia Pac J Oncol Nurs 2017; 4: 91-94.
  • 5. Chapman JA, Meng D, Shepherd L, et al. Competing causes of death from a randomized trial of extended adjuvant endocrine therapy for breast cancer. J Natl Cancer Inst 2008; 100: 252-260.
  • 6. Ng HS, Koczwara B, Roder DM, et al. Comorbidities in Australian women with hormone-dependent breast cancer: a population-based analysis. Med J Aust 2018; 208: 24-28.
  • 7. Holmes HM, Nguyen HT, Nayak P, et al. Chronic conditions and health status in older cancer survivors. Eur J Intern Med 2014; 25: 374-378.
  • 8. Smith AW, Reeve BB, Bellizzi KM, et al. Cancer, co-morbidities and health related quality of life of older adults. Health Care Financ Rev 2008; 29: 41-56.
  • 9. Alfano CM, Peng J, Andridge RR, et al. Inflammatory cytokines and co-morbidity development in breast cancer survivors versus noncancer controls: evidence for accelerated aging? J Clin Oncol 2017; 35: 149-156.
  • 10. Jordan JH, Thwin SS, Lash TL, et al. Incident co-morbidities and all-cause mortality among 5 year survivors of stage I and II breast cancer diagnosed at age 65 or older: a prospective-matched cohort study. Breast Cancer Res Treat 2014; 146: 401-409.


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